Jessica Pamperin, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012862 Issued in GA

Practice address

2450 Atlanta Hwy Ste 401
Cumming, GA 30040-1254

Phone

(470) 632-3413

Fax

(678) 658-9094

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Speech Therapy Services Inc

  • Speech-Language Pathologist
  • Alpharetta, GA
  • NPI 1225444821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1609593011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 TRIPP RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881936",
            "telephone_number": "770-597-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 401",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401254",
            "telephone_number": "470-632-3413",
            "fax_number": "678-658-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPERIN",
        "first_name": "JESSICA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15737983",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Palmer, D.D.S.
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• Rujuta Palsule, DDS
• Isabella Maria Palumbo, PH.D.
• Lauren Palumbo
• Meghan Shelton Panagopoulos, OTR/L
• Mariah Lee Marie Panasyuk
• Dipali Panchal, RDN, LDN
• Jital J Pancholi
• Pavani Kumari Pandiri, M.D

• Speech-Language Pathologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.